Active NPI
Madeline Mindek, L.C.S.W.
- Mental Health Counselor
- Cupertino, CA
National Provider Identifier
1790899052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LCSW #8376
- Practice address
- 21685 Granada Ave
Cupertino, CA 95014-5927 - Phone
- (408) 973-1001
- Fax
- (408) 973-9164
- NPI assigned
- Aug 17, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LCSW #8376 | CA | Primary |
Addresses
Primary practice location
21685 Granada Ave
Cupertino, CA 95014-5927
Mailing address
21685 Granada Ave
Cupertino, CA 95014-5927
Phone (408) 973-1001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW #8376 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790899052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21685 GRANADA AVE",
"city": "CUPERTINO",
"state": "CA",
"postal_code": "950145927",
"telephone_number": "408-973-1001",
"fax_number": "408-973-9164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21685 GRANADA AVE",
"city": "CUPERTINO",
"state": "CA",
"postal_code": "950145927",
"telephone_number": "408-973-1001",
"fax_number": "408-973-9164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINDEK",
"first_name": "MADELINE",
"name_prefix": "Ms.",
"credential": "L.C.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "LCSW #8376",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cupertino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.